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Complaint Investigation

Midland Medical Lodge

August 21, 2025 · Midland, TX · 3000 Mockingbird Ln
Citations 6
CMS Rating 3/5
Beds 125
Provider ID 676179
Healthcare Facility
Midland Medical Lodge
Midland, TX  ·  View full profile →
Inspection Summary

MIDLAND MEDICAL LODGE in MIDLAND, TX — inspection on August 21, 2025.

Found 6 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0558
Resident Rights Deficiencies
Potential for More Than Minimal Harm

able to answer her call lights timely and not heard residents complain about left waiting too long for their light to be answered. In an interview on 08/21/2025 at 5:02 PM the DON and the Administrator said they considered a call light being answered timely within 15 minutes and that was depending on what staff were doing at the time the call light was on.

The DON and Administrator said they would expect for staff to answer the call lights as soon as possible.

They said they were not aware that the call lights were being left on for over an hour.

Record review of the resident council meeting form dated June 26, 2025, indicated in part: Residents state some are not getting changed in a timely manner wait 30 minutes or more.

Record review of the Call Lights policy (undated) read in part Answer call light promptly; especially if it involves the bathroom light.

The call light must always be within resident's reach before you leave the room.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/21/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Midland Medical Lodge

3000 Mockingbird LN Midland, TX 79705

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited MIDLAND MEDICAL LODGE in MIDLAND, TX for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-21.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of MIDLAND MEDICAL LODGE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-21.

Federal health inspectors cited MIDLAND MEDICAL LODGE in MIDLAND, TX for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-21.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of MIDLAND MEDICAL LODGE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-21.

Federal health inspectors cited MIDLAND MEDICAL LODGE in MIDLAND, TX for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-08-21.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of MIDLAND MEDICAL LODGE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-21.

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During an observation on 08/21/2025 at 11:38 AM revealed RN G performed a blood sugar check for Resident #115 in her room. RN G took the items needed from his medication cart then entered the resident's room.

The medication cart was left unlocked as the RN did not press the lock cylinder back into the medication cart. RN G entered the room and the cart was out of his sight as the cart was parked out to the side in the hallway.

After checking the resident's blood sugar, the RN returned to the medication cart and obtained an insulin pen and went back into the resident's room and again left the cart unlocked and unattended.

During an interview on 08/21/2025 at 11:42 AM RN G said that the medication carts were supposed to be locked when unattended.

The RN was made aware that he had left the medication unlocked when he entered the resident's room. RN G said that he could see the cart from the room, but he was made aware that he had his back turned to the cart and had left it unlocked on 2 occasions. RN G said he should have locked the cart.

During an interview on 08/21/2025 at 5:08 PM the DON said if a nursing staff stepped away from their medication cart then they were expected to lock it.

The DON was made aware of RN G stepping away from the medication cart and leaving it unlocked and unsupervised.

The DON said the nurse should have locked it as the cart had several medications in it.

Record review of the facility's undated policy and titled Medication cart administration of drugs indicated in part: If the cart is left at any time during medication pass due to an emergency, it must be locked.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/21/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Midland Medical Lodge

3000 Mockingbird LN Midland, TX 79705

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 08/21/2025 at 5:05 PM the DON said the nurses were expected to use a germicidal wipe to sanitize the glucometers in between resident's blood sugar checks.

The DON was made aware of a nurse using an alcohol pad to sanitize the glucometer.

The DON said she believed the alcohol pad was an appropriate way to sanitize the glucometer.

The DON said she was not sure what their policy indicated but that she would look.

Record review of the facility's undated policy and titled Glucometer policy indicated in part: It is the policy of our facilities that the glucometer be cleaned after each use.

This procedure will ensure that any area of the glucometer that could possibly come in contact with blood will be cleaned properly to avoid any possible chance of cross-contamination.

Each glucometer will be cleaned with an alcohol-free cleaning product that is a germicidal, viricidal and anti-bacterial agent.

After each use the glucometer is to be c leaned with an approved alcohol-free cleaning product.

Sani-cloth is used in our facilities as the cleaning product of choice for our glucometers.

Record review of the CDC's website on 08/21/2025, the website indicated in part: Do not share blood glucose meters. If you must share them in a healthcare or congregate setting, select a device designed for use in professional settings, not an over-the-counter device.

Clean and disinfect blood glucose meters after every use, per the manufacturer's instructions.

These recommendations apply in: Long-term care settings (e.g., nursing homes and assisted living facilities). https://www.cdc.gov/injection-safety/hcp/infection-control/index.html.

Record review of the glucometer's manufacturers recommendation indicated in part: Your EvenCare G2 Meter and lancing device are validated to withstand a cleaning and disinfection cycle of ten times per day for an average period of three years.

The following products are validated for disinfecting the EvenCare G2 meter and lancing device.

Hospital Cleaner Disinfectant Towels with Bleach, Medline Micro-Kill + Disinfecting, Deodorizing, Cleaning Wipes with Alcohol, Clorox Healthcare Bleach Germicidal and Disinfectant Wipes, Medline Micro-Kill Bleach Germicidal Bleach Wipes.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MIDLAND, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MIDLAND MEDICAL LODGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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